Head-to-body delivery by the "two-step" approach increases the red cell mass in term infants without any clinical risk of neonatal acidemia.
The aim of this study was to explore the feasibility of the Lüscher color test (LCT), a psychological instrument based on theory that colors are selected in unconscious way and that the color sensory perception of color is objective and universal. The research has involved 24 Ethiopian women, which delivered at the Getche Health Center in Gurage. It seemed to be relevant for the majority of Ethiopian women identify the rejected color (58.66%), the gray, than the favorite color, the yellow 33.33%). The yellow color suggests that they better express their personality in a physical context, while the gray color indicates that they want to live this experience intensely. This exploratory work lays the foundations for further studies in disadvantaged women, both in developing low-income Countries as well as in industrialized Countries characterized by an high level of emigration, and for clinical applications by the complete LCT version.
Late preterm birth, a rapidly growing segment of premature deliveries, has the potential to cause deleterious effects on women's psycho-emotional experience of labor and the establishment of successful lactation. We compared personality traits by the Lüscher Color Test, the mother-to-infant bonding attitudes by the Mother-to-Infant Bonding Scale (MIBS) and lactation outcome, between mothers of late preterm and at term infants. Our results indicated that mothers idealize their condition and wish to enjoy this magic and extraordinary time in spite of feeling stressed. However, late preterm mothers feel too sad and distressed to relax in their own space after the premature birth event. In addition, their total MIBS score (mean ± SD) was significantly higher (1.364 versus 0.581; p 0.026), as related subscales: Dislike (p 0.005) and Disappointed (p 0.012). Finally, they significantly reduced breastfeeding rates from discharge (p < 0.0001), to the first (p < 0.001), the third (p = 0.002) and sixth postnatal month (p = 0.0002). We concluded that there is a relation between unconscious deep stress along with bonding limits of late preterm new mothers and impaired breastfeeding initiation and duration.
Conclusions Frenulectomy has a positive impact on breastfeeding success. We recommend early treatment if feeding difficulties are observed combined with tongue tie. LATE-PRETERM DELIVERY: PSYCHOLOGICAL DISTRESS AND LACTOGENESISdoi:10.1136/archdischild-2012-302724.1681 Padua University School of Medicine, Agna, ItalyLate-preterm infants represent the most rapidly growing group of preterm births. The majority of these infants is treated as term neonates at the regular nursery. It is noteworthy that late-preterm infants have a lower breastfeeding prevalence than term neonates.It is not known whether psychological distress affects lactogenesis or the mother-to-infant bonding.The study's aim is to verify if late-preterm delivery is associated to psychological distress affecting Mother-to-Infant bonding and breastfeeding.The study was performed at the Departement of Gynaecology and Human. Reproduction Science of Padua University, between June and October 2011.The study group consisted of 75 mothers: 25 delivered late-preterm with caesarean section and 50 delivered with term vaginal birth.The third day after birth, four psychological tests were administered to mothers: STAI, EPDS, MIBS, LüscherColorTest.Baseline levels of prolactin and cortisol were controlled. ANOVA shows significantly higher levels of trait anxiety and state anxiety in late-preterm infants' mothers:the average trait anxiety is 46.0 (IQR 39.0-50.0) in late-preterm infants' mothers and 40.5 (IQR35.3-44.0) in term infants' mothers (p=0.01); and the average state anxiety is 48.0 (IQR42.0-56.0) in late-preterm infants' mothers and 43.0 (IQR 39.0-48.8) in term infants' mothers (p=0.03) respectively. There are significantly higher levels of depression in late-preterm infants' mothers: in EPDS the average is 9 (IQR 8-13) in late-preterm infants' mothers and 6 (IQR 4-9) in term infants' mothers (p=0.001). In MIBS, joy is lower in late-preterm infants' mothers.In late preterm infants this is associated to reduced exclusive breastfeeding at discharge (20% vs 66%).The LüscherColourTest is comparable for both groups. Mothers who delivered late-preterm have negative emotional changes, without hormonal changes. The psychological distress is negatively associated to an altered Mother-to-Infant bonding and lactation performance. Background and Aims In Ghana, 74/1,000 children per year die before their fifth birthday and many suffer from ill health. We explore the relative impact of genetic traits for the children's health. Methods Within a trial on Intermittent Preventive Treatment in Infants for malaria 1,070 infants were recruited at 3 months and followed-up for 21 months in the Ashanti region. Each month standardized medical history, clinical exam and parasite density were taken. Anthropometric measures were performed every 3 months. DNA preparation and genotyping were performed according to standardized protocols. We defined "health" as a lack of malaria episodes with high parasitaemia, no episodes of anemia, no reporting of severe events like measles, accidents,...
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